Global trends in economics, climate and technology are weighing on young adults, a report finds. It recommends overhauling how we approach mental health care.

The mental health of adolescents and young adults has been on the decline and it’s partly because of “harmful megatrends” like financial inequality, according to a new report published on Tuesday in the scientific journal The Lancet Psychiatry. The global trends affecting younger generations also include wage theft, unregulated social media, job insecurity and climate change, all of which are creating “a bleak present and future for young people in many countries,” according to the authors.

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